Erosive-ulcerative blepharitis in a case of herpes labialis

Abstract

A 41-year-old male presented to the outpatient department with complaints of redness and pain in the left lower eyelid for 3 days. Left lower eyelid showed ulcer present laterally on the intermarginal strip with the bare mucosal surface. There was mild edema and conjunctival injection adjacent to the ulcer. He had a history of fever and perioral rashes for last 5 days. Tzanck smear from perioral lesions showed multinucleated giant cells. He was diagnosed with herpes labialis (HL) with ocular involvement. We would like to highlight the presence of erosive-ulcerative blepharitis in association with HL.